AIM: To investigate the clinical curative effects and value of small incision cataract extraction in the treatment of acute angle-closure glaucoma and cataract.

METHODS: A total of 60 cases of acute angle-closure glaucoma with cataract patients in our hospital from May 2012 to November 2013 were selected as the study objects, and randomly divided into Group A, B and C, each group contained 20 cases(eyes). Group A were given anti-glaucoma surgery, Group B were given glaucoma and cataract surgery, while Group C were given simple small incision cataract extraction and intraocular lens implantation. The IOP, anterior chamber depth, anterior chamber angle, papilledema C / D ratio change, and corrected visual acuity, complications, hospital stay, cost-effectiveness and the learning curve and other indicators before and after the treatment of these three groups were compared.

RESULTS: Three groups of patients on admission and there was no significant difference in IOP after treatment(P>0.05); through different surgical methods, IOP of group C was significantly better than that in group A and group B(P<0.05); after surgery, the difference of patients with correction change in visual acuity between group A and group B was not significant(P>0.05), while group C was significantly better in group A and group B(P<0.05); compared the complications of group A and group B, there was no significant difference(P>0.05), group C had significantly less complications than group A and group B(P<0.05).

CONCLUSION: The small incision cataract surgery for acute angle-closure glaucoma has faster recovery, a small wound, a significant effect and fewer complications. It can effectively improve the cure rate of the disease and improve patient quality of life. Medical equipment is not expensive, the learning curve is short, the cost is low, and it is worthy of clinical use.